Ver el código de «Template:ACEP TBI policy»

<languages/>
<translate>
* ''Inclusion:'' 
** Non-penetrating trauma to the head
** Presentation to ED within 24 hours of injury
** GCS 14 or 15 on initial evaluation in ED
** Age ≥ 16
* ''Exclusion:''
** Penetrating trauma
** Patients with multi-system trauma
** GCS < 14 on initial evaluation in the ED
** Age  < 16
* '''Level A:'''
** A noncontrast head CT indicate in head trauma patients with LOC or post-traumatic amnesia only if ≥ 1 of following is present: 
*** Headache
*** Vomiting
*** Age> 60
*** Drug or alcohol intoxication
*** Deficits in short-term memory
*** Physical evidence of trauma above the clavicle
*** Post-traumatic seizure
*** GCS < 15
*** Focal neurological deficit
*** Coagulopathy
* '''Level B:'''
** A noncontrast head CT should be considered in head trauma patients with no LOC or post-traumatic amnesia if there is:
*** Focal neurological deficit
*** Vomiting
*** Severe headache
*** Age ≥ 65
*** Physical signs of basilar skull fracture
*** GCS < 15
*** Coagulopathy
*** Dangerous mechanism of injury
** Patients with an isolated TBI who have a negative head CT scan result are at a minimal risk for developing an intracranial lesion and therefore may be safely discharged from the ED. 
* '''Level C:''' 
** In mild TBI patient with significant extracranial injuries and a serum S-100B level ≤ 0.5ℳg/L measured w/in 4 hours if injury, consideration can be given to not performing a CT. 
** Mild TBI patients discharged from the E should be informed abut post-concussive symptoms. 
* No specific recommendation for use of head MRI in patient with mild TBI
</translate>